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Prostate cancer treatment delay.

Prostate Cancer | Last Active: Oct 29 3:24pm | Replies (23)

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@trusam1

FWIW, that talk starts at 3 hour 19 minute mark. I skimmed it, but could not find the comments on effect of delay in treatment.

I myself purposely delayed my treatment by 5-6 months because I wanted to complete something which I'd been heavily involved in for 20 years. I've wondered what effect that delay will have long-term. Logically, delaying 6 months must have *some* effect. One cannot continually delay and expect the cancer to not progress. Dr. roach must have been talking about significant statistical differences in a population. But for each of us, we care not about statistics in a population, but "what's going to happen to ME?" Seems like, the sooner, the better to me.

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Replies to "FWIW, that talk starts at 3 hour 19 minute mark. I skimmed it, but could not..."

I may have the wrong speaker. It may have been the speaker before Dr. Roach. That was Dr. Klotz speaking about active surveillance. I know from listening to video presentations at pcri.org that delays of 6-9 months in treatment led to no negative outcomes. There seem to have been studies on this topic back in the day where there were a smaller set of highly skilled doctors treating prostate cancer patients. In order to get care from that class of doctor it often involved 6-9 month wait times. Of course it also depends on the grade group of the cancer patient, whether cribriform is present, etc. Early treatment has to lead to better outcomes. But it is important to factor these things in and if possible, take time in weighing the options for treatment. We balance quality of life with effective cure on this journey.